Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $824.77 / $2,119.66 / $16,042.00	Facility		$824.77	$2,119.66	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $749.08 / $835.29 / $1,142.90	Professional		$749.08	$835.29	$1,142.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $19,595.20 / $27,445.62	Facility		$4,800.00	$19,595.20	$27,445.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $802.16 / $1,397.20 / $1,886.22	Professional		$802.16	$1,397.20	$1,886.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $818.20 / $1,123.02 / $1,684.53	Facility		$818.20	$1,123.02	$1,684.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $802.16 / $962.59 / $1,443.89	Professional		$802.16	$962.59	$1,443.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $907.25 / $1,269.80 / $1,922.28	Professional		$907.25	$1,269.80	$1,922.28
United Facility/Professional Facility Modifier Low / Median / High Price $4,472.00 / $10,113.00 / $15,750.00	Facility		$4,472.00	$10,113.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $724.47 / $1,012.48 / $1,760.79	Professional		$724.47	$1,012.48	$1,760.79